pre e is physical. prove me wrong.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

Pre e is a physical cause, caused by rushed masturbation, light grip, lack of stimulation / pleasure. Anxiety doesn't help, like with anything,depression, weight gain etc. but isn't a cause.
Arousal also doesn't help cumming sooner than you want but again isn't a cause.
Chemical imbalance is bollox, if you post to disagree give some evidence or reasons why.

Reason anxiety is believed to be a cause is because there are meds for anxiety delay ejac. Ssri's increase serotonin which delays ejac, i've looked into it and can't find proof of a direct link between serotonin increase and delayed ejac. Serotonin regulates mood, appetite, memory, libido and aparrently sexual performance ( ejaculatory response ) but as i said nothing directly links the two.
Many ssri's have physical affects which seem to impact delay of orgasm more than increase in serotonin.
Tramadol is also a painkiller ( opiod ) and can have mild sedative affects.
Dxm ( couch meds ) has muscle relaxant affects.
Mdma, extacy also produces high levels of serotonin, but have numbing affects on the body ( aswel as mixed agents ). Same for cocaine which is a dopamine agonist.

This is the most interesting. Prozac, zoloft, paxil and celexa commonly cause Vasodilation (or*vasodilatation). This is the widening of*blood vessels. It results from relaxation of*smooth muscle*cells within the vessel walls, particularly in the large*veins, large*arteries, and smaller arterioles. The process is the opposite of*vasoconstriction, which is the narrowing of blood vessels. When blood vessels dilate, the flow of blood is increased due to a decrease in vascular resistance.Therefore, dilation of arterial blood vessels (mainly the arterioles) decreases*blood pressure. The response may be intrinsic (due to local processes in the surrounding tissue) or extrinsic (due to*hormones*or the*nervous system). In addition, the response may be localized to a specific organ (depending on the metabolic needs of a particular tissue, as during strenuous exercise), or it may be systemic (seen throughout the entiresystemic circulation).

Edit:
Several authors have reported their experience with PDE5 inhibitors alone or in combination with SSRIs as a treatment for prem e.
The proposed mechanisms for the effect of sildenafil (viagra ) on ejaculatory latencies include a central effect involving increased NO and reduced sympathetic tone, smooth muscle dilatation of the vas deferens and seminal vesicles, which oppose sympathetic vasoconstriction and delay ejaculation.
High blood pressure ( caused by vasoconstriction ) medication is also prescribed for premature ejaculation, though not as commonly.

Edit 2:
Looking into magnesium, I know that sameel posted up about histamine and magnesium deficiency being linked to prem e. So from researching, magnesium deficiencies increase the activity of vasoconstriction.

http://www.google.com.au/url?sa=t&rc...yvpXJxofCq20QA
Here is an article posted by Pegasus. There is mention of the use of ssri's and pde5 inhibitors increasing ielt ( time of ejaculation after insertion ) and how the pelvic floor muscle rehabilitation does the same.

Prove me wrong neuro bitches.

[Minuteman Member of the Month March 2013. Find all posts View Profile Close Minuteman]

PremE is not a cause it is a symptom.

Things that cause premE can be physical, psychological and physiological (chemical?), the degree in which all on them are cause premE (among other symptoms) vary greatly, not only that but they can cause each other (psychological may cause pelvic floor tension which then becomes chronic and creates a pelvic floor problem), and working on one of them usually means working on fixing all of them trough fixing other such as increasing yours body physical performance raises your confidence with is a good way to decrease your anxiety which in return diminishes its effect on premE.

Physical causes are habitual (created by some bad habit) or "anatomical" (for he lack of the better word) which means caused by certain posture imbalance over longer periods of time (pelvic tilt etc).

Psychological causes range from simple long term stress to harder cases which include anxiety (panic) attacks etc.

Physiological (or chemical though I don't know how much physiological is good word to use here) causes can be a hormone dis balance (hereditary or otherwise).

All of those are interconnected and all of those might even cause each other eventually leading to premE.

The good thing about this is as noted, the ability to fix one cause and effect others as well, the duration of the healed state will be related to the areas effected. Which is why short term fixes be it physical, psychological or physiological won't work but a more complete approach is needed.

This also relates to the effectiveness of certain approaches. For example trying to fix premature ejaculation trough medicaments will not provide long term betterment because other aspects (or causes) of premature ejaculation are not worked on, and the effect of medicaments on for example physical component is far less than other way around. However short term it has the strongest effect.

Using psychological ways (trough therapy mostly) has a stronger effect on physical component and if the breakthrough is big enough it might even outright fix the problem long term. This approach in balanced in a way that it might have good long and short term effects but usually can't stand on its own.

Using physical ways has the most effect long term while short term (short term being this week) is not as effective. The reason fixing premature ejaculation trough physical activity and correction has the most effect is because it affects both physical and physiological to a much greater degree long term than other way around.

It is also simply the safest approach to fix premature ejaculation trough physical options since then the body itself handles the more critical chemical part and psychological part heals passively since more often than not the best way to deal with psychological premE is to avoid dealing with it at all, therefore diminishing its effects greatly.

Most often than not a strong body will have much better hormone balance and much stronger mind.

So can premature ejaculation be fixed with physical activity only (edging, workout, pelvic floor rotuine etc)? Yes I think so.

Is the premature ejaculation caused only by physical effects, definitely not.

Counter argument is simply long term stress. If has far worse effects longterm by simply destroying our immune system. In essence there are cases when people would become sick or even die after a great enough stress caused by some accident or just great sadness.

People can develop eating and metabolic disorders trough anxiety alone, it is not far fetched to think that it might develop a habit which might cause premature ejaculation. In some way while the nearest cause might be physical it is psychological by proxy (in this case a nervous habit).

Men are very self-conscious about their penises for example, and one bad performance which was due to the fatigue for example when reinforced by the parter might cause a long term anxiety in which one might unconsciously condition oneself to for example tense its pelvic floor every time they have sex.

Yes the direct cause might be the tension of the pelvic floor but in the core problem as well is not tackled in some way premature ejaculation will return in time. An unconscious part of a human mind should not be underestimated, trough on the other hand it also can fix itself as well.

The body adapts over time but dislikes change, from its perspective lasting long or lasting short is pretty much the same as long as it is consistent. That is why for example in order to better develop oneself muscles one should vary the volume, pace and other parameters of the workout every few months, and this is why in the end conditioning one self to last long trough edging is helpful on so many fields.

This is at least my opinion on how I view the relation between causes of premE.

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I also wonder, why is there a prevalent need to put oneself strictly in one compartment when it comes to premature ejaculation. There is a lot of posts here claiming that their premE (or premE in general) is 100% this or that.

It is rarely 100% anything it simply is not that simple, it will always be a combination of physical, psychological and physiological (chemical) the only difference is what is a primary cause, and are some causes there by proxy.

The good thing is that in almost all cases taking the approach of 100% physical is a good idea, but it is one thing to use that as a convenience and other thing entirely to claim it.

The other thing that members tend to mistake is taking themselves as a general sample in some problem.

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[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Hmm well I sort of agree with MM . My view is that pre e can be cured by working on the physical side , it may have other components and if you want to work on them fine . I however do not interest myself in head issues it is not my area . As an aside the guys that talk about chemical imbalance come across to me as being in the head issue group..

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

I understand mm's point, but my point is that these things, stress, anxiety don't cause pre e to exist they create problems in which a person deals with it in their own way and consequentially lead to pre e.
Same as your example of a person with an eating disorde, anxiety doesn't cause a person to become fat and unhealthy, and training and exercise is how they will lose weight and become fit. Of course unless the anxiety issue is tackled then it's going to be a problem ( same as I say to guys with pre e ) but it's not a "cause", if a person completely rids themself of anxiety thats great, will it have cured there pre e? No.
Everything you said about stress causing tension in the pf, and anxiety being interrelated to this I don't disagree, you can't change your eating habits and go to the gym 5 times a week and lose weight if your constantly stressed, anxious, unhappy, but physical work is the only way to "actually" achieve your goal.
Chemically, hormone imbalances, unless you have some evidence to back it up no point bringing it up.

[OptimumDreamer Junior Member Find all posts View Profile Close OptimumDreamer]

Well I'll give it a go. For the sake of argument I'll say there is a mental side and a physical side to the brain, because well everything is controlled through the brain.

Anyway when you watch porn you're Physically watching it, but mental conditioning, hense the loss of sensitivity and so forth. The same as when you edge and last longer you create a slow climbing slope of dopamine spiking at orgasm, that's why it conditions your mentality to last longer. Hence quick masturbation quick spike of dopamine last shorter. When it comes to physical, there things like sense's (hypersensitivity) and so forth because your sense are well... more senstive sending bigger pulses to your brain. So yes some people have hypersensitivity but most are a poorly conditioned mindset.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

Pegasus has said that he believes his delayed ejacualtion was a result of anxiety. If we are claiming "causes" how can one work on both ends of the scale. A cause of weight gain is over eating, not eating enough will cause weight loss. Anxiety is a precursor which leads to the onset of pre e or de or depression or whatever.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

Well I'll give it a go. For the sake of argument I'll say there is a mental side and a physical side to the brain, because well everything is controlled through the brain.

Anyway when you watch porn you're Physically watching it, but mental conditioning, hense the loss of sensitivity and so forth. The same as when you edge and last longer you create a slow climbing slope of dopamine spiking at orgasm, that's why it conditions your mentality to last longer. Hence quick masturbation quick spike of dopamine last shorter. When it comes to physical, there things like sense's (hypersensitivity) and so forth because your sense are well... more senstive sending bigger pulses to your brain. So yes some people have hypersensitivity but most are a poorly conditioned mindset.

Same as a person who is "conditioned" to sit on the couch, watch tv and binge eat. Their mental conditioning won't allow for extended periods of strenuous activity so of course changing that is vital, but just changing that without taking action will do what exactly?

[Minuteman Member of the Month March 2013. Find all posts View Profile Close Minuteman]

I understand mm's point, but my point is that these things, stress, anxiety don't cause pre e to exist they create problems in which a person deals with it in their own way and consequentially lead to pre e.
Same as your example of a person with an eating disorde, anxiety doesn't cause a person to become fat and unhealthy, and training and exercise is how they will lose weight and become fit. Of course unless the anxiety issue is tackled then it's going to be a problem ( same as I say to guys with pre e ) but it's not a "cause", if a person completely rids themself of anxiety thats great, will it have cured there pre e? No.
Everything you said about stress causing tension in the pf, and anxiety being interrelated to this I don't disagree, you can't change your eating habits and go to the gym 5 times a week and lose weight if your constantly stressed, anxious, unhappy, but physical work is the only way to "actually" achieve your goal.
Chemically, hormone imbalances, unless you have some evidence to back it up no point bringing it up.

In conclusion getting rid your self of symptom and getting rid yourself of the cause may require different approaches. This all might boil down to different use of terminology and semantics.

The symptom of an eating disorder is being over weight, the cause of that eating disorder is anxiety (for an example), getting rid of the anxiety will help one lose weight over time because the reason why one eats allot will go away, however this process is long and can be sped up by exercising which fixes the symptom.

The problem which I am pointing to is that getting rid of the symptom alone does not mean that one will not return if the underlying problem (the cause) is left untreated, sometimes both the cause and the symptom can be treated by the same remedy, as it is mostly with premature ejaculation.

But then lets take in consideration two people with a slow and fast methabolysm or a differentthyroid gland problem (one type or problem causes a person to gain weight while other causes it to lose weight depending on the type of problem) even if they try to directly battle the problem (one by eating more and working out and other by eating less and working out) they will not be able to battle the problem effectively until they fix the underlying cause.

I do understand your point, and I agree to it, but in rough terminology claiming that the cause of premE can't be anything other than physical is false. In a over weight person example his direct cause is the fact that he eats to much, his underlining cause is that he has an eating disorder caused by anxiety, or a thyroid gland problem.

This also means that I agree that it is not a good idea for people to hide behind causes, for example a overweight person might be just overweight because one enjoys eating allot and is using anxiety as an excuse, same can happen in premE with people who claim that physical activity and workout routines (be it edging or other) doesn't work because their problem is psychological or chemical (which in some way I think is the point you where trying to make).

A good number of members tend to give up blaming the problem of premature ejaculation on something else even though for most members it really isn't but they lack the needed discipline and diligence to stick to the routine etc. In a way it is like trying to get strong without working out, it doesn't make sense, and in that point I fully agree.

But it is an interesting theory that premature ejaculation most direct closest cause in purely physical (mechanical) and habit based. However, simply based on the complexity of our own body and the fact that there is allot we don't know about premature ejaculation from the chemical (hormone) standpoint as well from both physical and psychological one does not have enough evidence to claim that.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

The terminology of "cause" is what's dividing us. For sake of argument I'll say anxiety is a "cause" of withdrawal from seeking a partner and in turn sex, and a "cause" of bad habits which lead to development of pre e.
I know not enough is known about the chemical, that is why I'm trying to link the common properties of meds that are used to delay ejaculation. 4 of the top ssri's prescribed for pre e, as I listed, have a physical affect of vasodilation, which seems to hugely impact what is thought about premature ejaculation.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Meh seems we are all agreed on course of action. I often think working though the physical not only helps the physical ,so in this case pre e, but often helps the mental.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

Viagra was originally designed to treat hypertension. The heart is the best comparable thing to the penis, vasoconstriction is a cause of hypertension, high blood pressure pumped in by the muscles. Comparable to pre e, ik's pumping blood Into the penis and leading to orgasm not long after.

[spanky Senior Member Find all posts View Profile Close spanky]

This is an interesting discussion. You make good points, but I have to agree with MM's analysis here.

Fact is, I'm not a doctor or a scientist, and it's been some while since I spent time investigating and exploring possible physiological and/or psychological causes, all I'm really qualified to offer is my own experience, and my own path to improvement, which covers a number of places I detailed on my sticky (OMG! FOUR??) years ago.

Honestly, I think it IS physical. Primarily anyway. And the serotonin impact has been dramatic and consistent throughout for me. Looking back, it explains a lot too. I've taken a fair bit of cocaine too, but that just kills my wood, even with a Viagra running, so I've got no idea if it affects my control haha TMI?

MDMA switches me off 100% of the time, but it's an unrealistic medicine. However, as MM pointed out, that is only addressing the symptom anyway, not the cause. And aggressively too.

Let's say it IS all serotonin based for the sake of argument, one MDMA boost later, bit of fruit and nuts, maybe fish, one suicide Tuesday later, your body gets its homeostasis back where it wanted, and you're right back where you started. Again, addressing the symptom not the cause.

In my experience, I tried a LOT of things. chemical, physical and psychological. I trained a lot and practiced to overcome involuntaries first for instance, and that again, is just another symptom. But it's a symptom of whatever oversensitivity and lack of muscle and/or prostate control that on the back of my whole journey I never have now.

Which is my point, that it was taking time and working on it all that got me to this place now where it's simply not a problem any more.

Initial success years ago landing a super hot nympho qirlfriend for a bit basically cured any psychological issue or anxiety that might have contributed.

Like all the other bits, muscle balance, chemical balance, practice, it's succeeding at all of these things that somehow must have got to the root cause.

[spanky Senior Member Find all posts View Profile Close spanky]

Also, on serotonin effects, I suspect that has more to do with the prostate than the pelvic floor.

Reason for saying that is that certainly with massive chemical serotonin boosts, and frequently now at other times too, I've had problems finishing, like climbing and climbing a mountain, but the finish line consistently kept an inch away from your hands, you get tired, keep climbing, getting more desperate, but climbing slower and slower with fatigue, yet still the finish line remains an inch away from your grasp.

This doesn't feel psychological, I'm horny as hell and desperate to finish. It's like being held at 9.9/10. Everything else feels physically ready. More and more so than I would ever typically need to cross the line. It feels like something's fundamentally switched off. I'm guessing my prostate as I know it's part of the process and everything else feels right.

Obviously again, I'm not a doctor, so that's pure armchair science.

[longerlastingnoob Senior Member Member of the Month Jan 2015 Find all posts View Profile Close longerlastingnoob]

Ye it's armchair on my part as well.
I just gave the thread a provocative title to try and entice some of the more knowledgeable amongst us, regarding the neuro side. But it is what I believe, it makes more sense to me than what is currently being put forward.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Not long ago the mainstream view was that it was 100% pysc.